COVID‐associated non‐vasculitic thrombotic retiform purpura of the face and extremities: A case report

Abstract SARS‐CoV‐2 infection can manifest many rashes. However, thrombotic retiform purpura rarely occurs during COVID‐19 illness. Aggressive anti‐COVID‐19 therapy with a high‐dose steroid regimen led to rapid recovery. This immunothrombotic phenomenon likely represents a poor type 1 interferon res...

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Main Authors: Connor M. Bunch, Nuha Zackariya, Anthony V. Thomas, Jack H. Langford, Michael Aboukhaled, Samuel J. Thomas, Aida Ansari, Shivani S. Patel, Hallie Buckner, Joseph B. Miller, Christy L. Annis, Margaret A. Quate‐Operacz, Leslie A. Schmitz, Joseph J. Pulvirenti, Jonathan C. Konopinski, Kathleen M. Kelley, Samer Hassna, Luke G. Nelligan, Mark M. Walsh
Format: Article
Language:English
Published: Wiley 2022-12-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.6790
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author Connor M. Bunch
Nuha Zackariya
Anthony V. Thomas
Jack H. Langford
Michael Aboukhaled
Samuel J. Thomas
Aida Ansari
Shivani S. Patel
Hallie Buckner
Joseph B. Miller
Christy L. Annis
Margaret A. Quate‐Operacz
Leslie A. Schmitz
Joseph J. Pulvirenti
Jonathan C. Konopinski
Kathleen M. Kelley
Samer Hassna
Luke G. Nelligan
Mark M. Walsh
author_facet Connor M. Bunch
Nuha Zackariya
Anthony V. Thomas
Jack H. Langford
Michael Aboukhaled
Samuel J. Thomas
Aida Ansari
Shivani S. Patel
Hallie Buckner
Joseph B. Miller
Christy L. Annis
Margaret A. Quate‐Operacz
Leslie A. Schmitz
Joseph J. Pulvirenti
Jonathan C. Konopinski
Kathleen M. Kelley
Samer Hassna
Luke G. Nelligan
Mark M. Walsh
author_sort Connor M. Bunch
collection DOAJ
description Abstract SARS‐CoV‐2 infection can manifest many rashes. However, thrombotic retiform purpura rarely occurs during COVID‐19 illness. Aggressive anti‐COVID‐19 therapy with a high‐dose steroid regimen led to rapid recovery. This immunothrombotic phenomenon likely represents a poor type 1 interferon response and complement activation on the endothelial surface in response to acute infection.
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spelling doaj.art-d911538805bb4417ace482c0492da8e42023-01-17T04:40:57ZengWileyClinical Case Reports2050-09042022-12-011012n/an/a10.1002/ccr3.6790COVID‐associated non‐vasculitic thrombotic retiform purpura of the face and extremities: A case reportConnor M. Bunch0Nuha Zackariya1Anthony V. Thomas2Jack H. Langford3Michael Aboukhaled4Samuel J. Thomas5Aida Ansari6Shivani S. Patel7Hallie Buckner8Joseph B. Miller9Christy L. Annis10Margaret A. Quate‐Operacz11Leslie A. Schmitz12Joseph J. Pulvirenti13Jonathan C. Konopinski14Kathleen M. Kelley15Samer Hassna16Luke G. Nelligan17Mark M. Walsh18Departments of Emergency Medicine and Internal Medicine Henry Ford Hospital Detroit Michigan USAIndiana University School of Medicine—South Bend South Bend Indiana USAIndiana University School of Medicine—South Bend South Bend Indiana USADepartments of Emergency Medicine and Internal Medicine Saint Joseph Regional Medical Center Mishawaka Indiana USADepartments of Emergency Medicine and Internal Medicine Saint Joseph Regional Medical Center Mishawaka Indiana USADepartments of Emergency Medicine and Internal Medicine Saint Joseph Regional Medical Center Mishawaka Indiana USADepartments of Emergency Medicine and Internal Medicine Saint Joseph Regional Medical Center Mishawaka Indiana USADepartments of Emergency Medicine and Internal Medicine Saint Joseph Regional Medical Center Mishawaka Indiana USADepartments of Emergency Medicine and Internal Medicine Saint Joseph Regional Medical Center Mishawaka Indiana USADepartments of Emergency Medicine and Internal Medicine Henry Ford Hospital Detroit Michigan USADepartments of Emergency Medicine and Internal Medicine Saint Joseph Regional Medical Center Mishawaka Indiana USAKidney Care of Michiana Mishawaka Indiana USAKidney Care of Michiana Mishawaka Indiana USADepartment of Infectious Disease Saint Joseph Regional Medical Center Mishawaka Indiana USADepartment of Pathology South Bend Medical Foundation South Bend Indiana USADepartment of Dermatology Beacon Medical Group Granger Indiana USADepartment of Internal Medicine Saint Joseph Regional Medical Center Mishawaka Indiana USADepartment of Family Medicine Marian University College of Osteopathic Medicine Indianapolis Indiana USADepartments of Emergency Medicine and Internal Medicine Saint Joseph Regional Medical Center Mishawaka Indiana USAAbstract SARS‐CoV‐2 infection can manifest many rashes. However, thrombotic retiform purpura rarely occurs during COVID‐19 illness. Aggressive anti‐COVID‐19 therapy with a high‐dose steroid regimen led to rapid recovery. This immunothrombotic phenomenon likely represents a poor type 1 interferon response and complement activation on the endothelial surface in response to acute infection.https://doi.org/10.1002/ccr3.6790acral lesionschilblainsCOVID‐19exanthemapurpuraSARS‐CoV‐2
spellingShingle Connor M. Bunch
Nuha Zackariya
Anthony V. Thomas
Jack H. Langford
Michael Aboukhaled
Samuel J. Thomas
Aida Ansari
Shivani S. Patel
Hallie Buckner
Joseph B. Miller
Christy L. Annis
Margaret A. Quate‐Operacz
Leslie A. Schmitz
Joseph J. Pulvirenti
Jonathan C. Konopinski
Kathleen M. Kelley
Samer Hassna
Luke G. Nelligan
Mark M. Walsh
COVID‐associated non‐vasculitic thrombotic retiform purpura of the face and extremities: A case report
Clinical Case Reports
acral lesions
chilblains
COVID‐19
exanthema
purpura
SARS‐CoV‐2
title COVID‐associated non‐vasculitic thrombotic retiform purpura of the face and extremities: A case report
title_full COVID‐associated non‐vasculitic thrombotic retiform purpura of the face and extremities: A case report
title_fullStr COVID‐associated non‐vasculitic thrombotic retiform purpura of the face and extremities: A case report
title_full_unstemmed COVID‐associated non‐vasculitic thrombotic retiform purpura of the face and extremities: A case report
title_short COVID‐associated non‐vasculitic thrombotic retiform purpura of the face and extremities: A case report
title_sort covid associated non vasculitic thrombotic retiform purpura of the face and extremities a case report
topic acral lesions
chilblains
COVID‐19
exanthema
purpura
SARS‐CoV‐2
url https://doi.org/10.1002/ccr3.6790
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